Amendment to Surface Lease with Subsurface Agreement

AMENDMENT TO SURFACE LEASE WITH SUBSURFACE AGREEMENT

STATE OF LOUISIANA

PARISH OF EAST BATON ROUGE

KNOW ALL MEN BY THESE PRESENTS:

That, pursuant to L.R.S. 30:171, 39:11(c) and 41:1:

Reference is hereby made for all purposes to that certain Surface Lease with Subsurface Agreement No. ______from the State of Louisiana, to ______, dated ______, recorded in COB ______, Entry No. ______, of the Records of ______Parish, Louisiana.

WHEREAS, since the execution of said Surface Lease with Subsurface Agreement No. ______it has been necessary to ______

______, and

WHEREAS, the Administrator of the State Land Office is agreeable to amending said Surface Lease with Subsurface Agreement No. ______so as to provide for this alteration,

NOW, THEREFORE, said Surface Lease with Subsurface Agreement No. ______dated ______is hereby amended per the attached drawing dated ______which is made a part hereof for all purposes.

As hereby amended, said Surface Lease with Subsurface Agreement No. ______dated ______is hereby declared to be in full force and effect as of this date.

IN WITNESS WHEREOF, the STATE OF LOUISIANA has executed this Amendment to Surface Lease with Subsurface Agreement No. ______on this ______day of ______, ______.

WITNESSES to the signature of the

Administrator of the State Land Office:

______

Printed Name: Adam Cox

______

ADMINISTRATOR, STATE LAND OFFICE

Printed Name: Jonathan Robillard

______

Printed Name:______

ACKNOWLEDGMENT FOR THE ADMINISTRATOR OF THE STATE LAND OFFICE

STATE OF LOUISIANA

PARISH OF EAST BATON ROUGE

BEFORE ME, the undersigned authority, personally came and appeared Adam Cox, who by me being

first duly sworn, deposed and said:

That he is one of the witnesses to the execution of the foregoing instrument and that he saw Jonathan Robillard sign said instrument as Administrator of the State Land Office in the presence of appearer and the other

subscribing witness.

Sworn to and subscribed before me on this the

______day of ______, ______.

______

Signature of Witness

Printed Name: Adam Cox

______

Notary Public

IN WITNESS WHEREOF, GRANTEE has executed this Amendment to Surface Lease with Subsurface Agreement No. ______on this _____ day of ______, ______.

WITNESSES:

______

Printed Name:______

______

GRANTEE

Printed Name:______

______

Printed Name:______

ACKNOWLEDGMENT FOR CORPORATE GRANTEE

STATE OF ______

______OF ______

BEFORE ME, the undersigned authority, personally came and appeared ______, who by me being first duly sworn, deposed and said:

That he/she is one of the witnesses to the execution of the foregoing instrument and he/she saw ______execute said instrument as ______of ______as the free act and deed of said corporation in the presence of appearer and the other subscribing witness.

Sworn to and subscribed before me on this the

______day of ______, ______.

______

Signature of Witness

Printed Name:______

______

Notary Public

Printed Name:______